Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Medical Service Corporation SC

Organization General Practice Physician · NPI 1093150567

Medical Service Corporation SC provides General Practice Physician services in Streator, Illinois. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

104 W 6th St Ste 206
Streator, IL 61364-2864 Not confirmed with CMS for 12 years — call before visiting
Phone: (815) 252-1805
Fax: (815) 663-0103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1093150567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Agnes Wilson — Rn · (815) 252-1805
NPI enumeratedMay 9, 2013
Last updated in NPPESNovember 13, 2013
Mailing address405 Bronco Dr, Bloomington, IL 61704-5393